Transcript Highlights:

• The Committee on Human Services will come to order.
• <00:28:39.840> basis<00:28:40.840> um Services on the fee for service basis um Services
• Unlicensed services have much fuzzier requirements, not as clear as a licensed service.
• recovery services, and our housing stabilization services.
• They're only providing a Medicaid service, whether it's PCA services or a DWR service, so they're done

Keywords: 1187, senate, all

Summary: The Human Services Committee met on January 22, 2025, to focus early in session on waste, fraud, abuse, and program integrity in Minnesota human services programs. The chair said taxpayers expect funds to reach people in need and asked the Office of the Legislative Auditor (OLA) to present on resources, progress, and possible solutions. Members also asked the auditors to note where the legislature or agencies had already taken action to address prior findings. OLA staff summarized recent reports on grants management and oversight. They said noncompliance with grants policies has been pervasive across agencies, including problems at DHS in conflict-of-interest documentation and pre-award financial reviews. In one DHS review, 30 of 41 grant reviewers had missing or incomplete conflict forms, and 20 of 57 grants lacked required financial review documents; the issues affected about $11.5 million in grant funding. OLA said DHS spent more than $400 million in grants to nonprofit organizations from 2018 to 2022, and they identified broader factors affecting compliance such as inconsistent funding for grants administration, ad hoc training, inconsistent data systems, and limited enforcement authority. They noted 2023 legislative changes that allowed agencies to retain some grant funding for administration and directed an assessment of a statewide grants management system, and they said OGM training and staffing have increased, though training is still not required for all staff. The Financial Audit Division then discussed the senior nutrition program at DHS, which delivered about 3.1 million meals to more than 40,000 participants in 2022 through the Minnesota Board on Aging, area agencies, service providers, and subcontractors. The audit found nine findings across documentation, monitoring, contract oversight, participant recertification, and data quality. Examples included service providers failing to recertify participants or recording inaccurate data, the Board on Aging not performing monitoring visits since 2017 or financial reconciliations in 2022, and area agencies failing to complete required site visits. Survey results also suggested participant database inaccuracies. OLA recommended stronger monitoring, clearer procedures, and more reliable data to ensure services reach intended recipients. No formal votes or committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Health Services Fund.
• I have received services from... ...on behalf of Mass Social Services Foundation.
• Social Service Foundation, funded by CRDP.
• for preventive mental health services.
• for preventive mental health services.

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• > services<00:30:19.840> are the typically used services are the typically used services
• And our employment services department first started as a Disability Services Program back in 1992.
• And our employment services department first started as a Disability Services Program back in 1992.
• , all of our services.
• , all of our services.

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• Fund account, formerly the Mental Health Services Fund.
• Alliance of Child and Family Services.
• for preventive mental health services.
• I'm also a health service and policy researcher.
• Social Service Foundation, funded by CRDP.

Keywords: 988, house, all

Transcript Highlights:

• of Social Services.
• This includes the Department of Health Care Services (DHCS), the Department of Social Services (DSS),
• human service agencies.
• Plus the CalWORKs services layered on top of whatever child welfare services we can provide.
• services, and more.

Keywords: 988, house, all

Transcript Highlights:

• education, health, and human services. education, health, and human services.
• . services. services.
• affordable services. affordable services.
• Services. Services.
• I'm here to Support Services.

Keywords: 912, senate, all

Summary: This joint informational briefing focused on Act 310 grants and aid, with committee members hearing one-minute testimony from organizations first in person and then by Zoom. At the outset, the chairs explained there would be no Q&A during the briefing and asked testifiers to focus on how federal cuts were affecting their work. The meeting was organized by registration number and included both neighbor island and Oʻahu applicants. Testimony centered on organizations seeking state support to offset federal funding losses or anticipated reductions. Health and social service providers described impacts from Medicaid, SNAP, ACA subsidy, Title X, and other federal changes, including Aloha Care, Community Clinic of Maui, Healthy Mothers Healthy Babies, West Hawaiʻi Community Health Center, Hawaiʻi Disability Rights Center, Hawaiʻi Youth Services Network, Alcoholic Rehabilitation Services of Hawaiʻi, and Kokua Kalihi Valley. Other groups highlighted losses affecting food security, housing, disaster preparedness, and climate resilience, including the Kohala Center, Feeding Hawaiʻi Together, Hawaiian Lending and Investments, Dynamic Community Solutions, and the Pacific Tsunami Museum. Several arts, youth, and education organizations also testified, including Hawaiʻi Literacy, Hawaiʻi Youth Symphony, Honolulu Theatre for the Youth, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaiʻi, Girl Scouts of Hawaiʻi, Kids Hurt Too Hawaiʻi, and US Vets, each requesting funding to preserve programs and staffing. No votes or formal committee actions were taken during the briefing. The only action was procedural: the chairs moved through the applicant list, limited testimony time, and then transitioned from neighbor island in-person testimony to Oʻahu and later Zoom participants.

Transcript Highlights:

• And our applicants, our services.
• right across Kentucky Legal Aid Service right across Kentucky Legal Aid Service Area.<00:10:49.440
• what you do provides valuable service. what you do provides valuable service.
• <00:51:01.359> to Service area, um the services to Service area, um the services to veterans
• for your services to be utilized?

Keywords: 958, all

Summary: The subcommittee heard presentations from the Legal Aid Network of Kentucky, including Legal Aid of the Bluegrass, Kentucky Legal Aid, AppalRed Legal Aid, and the Legal Aid Society in Louisville. The presenters explained that the four nonprofit programs provide civil legal services in all 120 counties, focusing on low-income clients and matters such as domestic violence, family law, housing, expungement, public benefits, and veterans’ issues. They emphasized that they do not handle criminal defense cases and described statewide efforts such as the kyjustice.org website and Project Renew, which helps people in recovery with legal issues that affect stability, employment, housing, and family reunification. Each organization highlighted regional service challenges and examples of casework. Legal Aid of the Bluegrass described its 33-county service area, its mobile “justice bus,” and expungement work for people in recovery. Kentucky Legal Aid focused on disaster response after the December 2021 tornadoes, including insurance disputes and contractor fraud, and said it has continued to handle repeated FEMA-declared disasters. AppalRed described serving 37 rural counties with limited attorneys, the shortage of lawyers in “rural legal deserts,” and its disaster-response work after flooding and tornadoes, including FEMA appeals clinics and volunteer attorney support. The Legal Aid Society described its Louisville-area veteran services, including Social Security and VA disability cases, veterans treatment court referrals, and homeless outreach. Committee members praised the organizations’ work and noted the importance of their services. In response to questions about funding, the presenters said their support comes from a mix of Legal Services Corporation funds, state appropriations, federal grants such as VOCA, VAWA, and HUD, United Way, and foundation funding. They stressed that many grants are restricted, while state funding is more flexible and useful for emergencies and day-to-day operations. The presenters said current funding does not fully meet demand and requested an increase in the General Assembly’s appropriation from $500,000 per year to $1 million per year, or $2 million over the biennium.

Transcript Highlights:

• The purpose of the bill is to require the Department of Human Services to create an ALS services program
• The proposed bill removes providing intellectual disability services and providing personal care services
• There weren't enough services being provided.
• Yeah, so personal care services... Yes, so personal care services are in-home care services.
• and told you is true that we provide meal services and other services to seniors to help them stay in

Keywords: 994, senate, all

Transcript Highlights:

• I am the Chief Program and Services Officer at Texas Health and Human Services.
• Services Commission.
• with those ongoing services.
• to get services.
• do have services.

Keywords: 1184, house, all

Transcript Highlights:

• health services. health services.
• Thank you, Elio Social Services.
• Kauaii, Malama Pono Health Services. Kauaii, Malama Pono Health Services.
• social services including incarceration. social services including incarceration.
• Services. Services.

Keywords: 910, house, all

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• services, treatment for substance use disorders, dialysis, and inpatient pediatric services.
• services, treatment for substance use disorders, dialysis, and inpatient pediatric services.
• services, treatment for substance use disorders, dialysis, and inpatient pediatric services.
• The notice must include the rationale for services, primary care services, services, primary care services
• . services. services.

Keywords: 926, house, all

Summary: The House began with devotional remarks and then handled several procedural referrals. Senate bills 198 and 323 were referred to the Committee on Ways and Means under House Rule 35A because they affect state revenue, and Senate Bill 326 was also referred to Ways and Means after the Transportation Committee reported it favorably with amendment. House Resolution 18, supporting preservation of the Julian Scott birthplace in Johnson, was read by title and referred to the Committee on Corrections and Institutions under House Rule 52. The chamber then read a series of adopted House concurrent resolutions honoring Vermont schools and individuals, including the Fair Haven Union High School Slater bowling team, the Hartford High School Hurricanes girls ice hockey team, the Hartford girls basketball team, Theres Black as Vermont Mother of the Year, and the Mount Mansfield Union High School girls tennis team. Members made brief announcements welcoming some of the honorees and guests to the chamber, including the Mount Mansfield tennis team, Theres Black, the Fair Haven bowling team, and others. The main floor action was on House Resolution 17, affirming that all Vermonters are presumed competent to communicate and must be provided communication resources of their choice. The Human Services Committee chair explained the resolution grew out of testimony on alternative communication methods, including facilitated communication and rapid prompting method, and said the committee heard from people with lived experience, professionals, and written testimony from medical and speech-language organizations. The committee reported the resolution out 9-0-2, and the House adopted it. The House then took up Senate Bill 209, relating to prohibiting civil arrest in sensitive locations, and proceeded to its third reading and concurrence-with-amendment question.

Transcript Highlights:

• , emergency medical services, and then you've got the list, the six core services.
• services.
• Several essential services that residents rely upon—veteran services, libraries, health and human services
• But our services still have to run, and we have had to reduce our services.
• These services complement county human services and school services and include things like early childhood

Summary: The Committee on Appropriations took up SJR 2-F, a proposed constitutional amendment to reduce property taxes by lowering assessment caps on non-homestead property, expanding homestead exemptions over time, and allowing local governments to increase exemptions further. The sponsor argued the measure would provide broad property tax relief while requiring revenues to be directed to core services such as public safety, education, infrastructure, and natural resource projects, with a trust fund intended to help local governments transition. Senators raised concerns about the lack of a fiscal score, the effect on counties, cities, school districts, and special districts, and whether the proposal would shift costs to fees or other taxes. Several amendments were debated. Senator Polsky’s amendment to explicitly authorize user fees and non-ad valorem assessments to offset lost property tax revenue failed. Senator Avila’s amendment broadening permissible uses of ad valorem revenue to include county constitutional officers and other expenditures approved by local governing bodies was adopted after debate over whether the bill would otherwise underfund essential functions. Senator Smith’s sunset amendment, which would have made the constitutional changes expire after five years, failed. Senator Smith’s amendment to allow tourism development tax revenue to support public safety and education also failed. Senator Graal’s amendment removing the constitutional trust fund language was adopted, with supporters arguing the Constitution should not promise an unfunded account. Additional late-file amendments were considered. Senator Berman’s proposal to change the ballot title to more neutrally describe the measure as affecting property taxes and local community service reductions failed. Senator Trumbull’s amendment removing school board ad valorem taxes from the proposal was adopted, preserving school taxes. Senator Smith’s amendment narrowing the non-homestead assessment cap reduction to small businesses only failed. The committee then returned to the bill as amended and continued questioning the sponsor about eligibility, fiscal impacts, and whether the proposal could lead to local governments offsetting lost revenue through special assessments or other charges.

Transcript Highlights:

• services meet their needs. services meet their needs.
• um core service. um core service.
• fee-for-service program. fee-for-service program.
• of service to the person. of service to the person.
• and support services. and support services.

Keywords: 1187, senate, all

Transcript Highlights:

• ' programs and services.
• of her retirement from the Department of Human Services.
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• , moving everything to a shared service.

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Transcript Highlights:

• programs and services.
• of her retirement from the Department of Human Services.
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• Just because a vendor offers a service, if we choose not to accept that service, that doesn't relieve
• , moving everything to a shared service.

Keywords: 1204, all

Transcript Highlights:

• services.
• Contracted services.
• One is flex, DMH flex services.
• The services that DMH is reducing are specialty services separate from those services.
• , and infertility services.

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• We also piloted with Somerville Cambridge Elder Services.
• of services, including home-delivered meals, homemaker services, personal care services, and personal
• of services, including home-delivered meals, homemaker services, personal care services, personal emergency
• And ongoing care management services, $194 per month.
• , connecting with services.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• The purpose of the bill is to require the Department of Human Services to create an ALS services program
• The proposed bill removes providing intellectual disability services and providing personal care services
• Yeah, so personal care services are in-home care services.
• So it's a very needed service.
• and told you is true that we provide meal services and other services to seniors to help them stay in

Keywords: 994, senate, all

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• CARE SERVICES AND ADULT COMPANION SERVICES AND SELECTED NURSING SERVICES.
• WE CAN PROVIDE MEDICAL SERVICES, WE CAN PROVIDE LONG-TERM CARE SERVICES ANYWHERE IN THE STATE.
• SO WE SELECTED SOME SERVICES.
• , DEEPENED SERVICES INCLUDING MEDICAL SERVICES THE FIRST GROUP.
• OR IS THE MAJORITY OF THE STILL FEE-FOR-SERVICE. VERSUS FEE-FOR-SERVICE IN THIS PILOT AS WELL?

Transcript Highlights:

• , and the services of oral surgeons, the dental services of oral surgeons.
• , and the services of oral surgeons, the dental services of oral surgeons.
• The problem we have is that it says oral surgeons’ services, dental services.
• I was one of those people who delivered services, oral surgery services,” “who delivered services, oral
• Special needs services for adults and oral surgeons' dental services for adults.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.